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Post-Abdominoplasty: A Case Of The Missing Navel!

Friday, February 3rd, 2017

 

While all cosmetic or plastic surgeons have their own style and artist preferences, there is certain criteria that needs to be met to say you have delivered a good surgical result for your patient. We have been seeing a very strange occurrence in our office lately, one that I believe warrants discussing.

Over the past 1 ½ -2 years, Dr. Castillo has seen a number of individuals who are seeking a second opinion on their tummy tuck (abdominoplasty), which they had done elsewhere. These patients share that they are unhappy with the results. “Something just doesn’t look right,” they say. While they may not know exactly what they are unhappy with, they KNOW something isn’t as expected.”

With one professional peek at their tummy, it’s shockingly obvious. They are missing the “crown jewel” of any good tummy tuck – the navel!! We have also seen a few patients with poorly re-constructed, misshapen or poorly placed umbilicus as well. Either way, it would make it difficult for a person to feel good about the new look of their tummy.

The navel (umbilicus) is the focal point of any abdomen. It is the single most important anatomical component and without one, an abdomen can look like something straight out of Alien! Acute attention to the details of placement, size, shape and depth are paramount in the final appearance of an abdomen. That deserves repeating…. Acute attention to the details of placement, size, shape and depth are paramount in the final appearance of an abdomen. The navel immediately reveals the age of an individual by the location, shape and size of it. Compare your current navel to that of a picture of your navel as a teen. You are likely to notice some changes.

So my best advice to anyone considering a tummy tuck is ask lots of questions about what you are getting and what your surgeon’s vision of a proper abdominoplasty is. Look closely at his before and after photos. Carefully examine at the position, shape, size, depth and proportion of the navels he has created. This is not the time ignore the proverbial “elephant in the room.” Demand a proper navel! 

Roxanne Grace Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY                                                                     https://www.cosmeticplasticsurgery.com

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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Could a Non-Surgical Nose Job Really Work?

Friday, October 2nd, 2015

With the increased use of injectables through out the face, injectables as known as dermal fillers have come to play a role in managing small deformities of the nose.  Sometimes people refer to these derma filler injections to the nose as a non-surgical nose job.  In reality, it is not really a nose job, but rather the camouflaging of a deformity that can be corrected without the need of surgery.

A few examples of deformities that would possibly fall under this category would be:

1. A small dent on the side of the nose

2. A skin deformity related to scar and/or trauma

3.  A small nasal hump on a nose in which an experienced cosmetic or plastic surgeon could add dermal filler above and below the hump, adding volume to create the illusion of a straight nasal dorsum or straight nasal bridge.

While I do find patients who fall in this category in our consultations for nasal surgery in both Bloomington/Normal and Champaign/Urbana, it is the minority of the noses that can be corrected through injectables.  Most of the patients seeking a nasal change do require changes about nasal cartilages and/or bones that would necessitate surgery as the treatment of choice.

When injectables can be used, one of two substances can usually be utilized.

1. Hyaluronic Acid– [Voluma, Restylane Silk, Restylane Lift, Juvaderm, Perlane, etc.,)

2. Hydroxy Appetite (such as Radiesse)

If you are thinking about undergoing nasal surgery and/or changes to your nose, your surgeon can easily point to the areas that can be corrected with either injectables and/or surgery and should be able to show you pictures of corrections that he has performed.  We have an extensive showcase of before and after photos of multiple types nasal deformities to demonstrate the corrective surgeries we have performed in our practice.  Our patients find this helps in a significant way when they are trying to address his own personal issues.

 

Dr. G. D. Castillo

G. D. Castillo, M.D. Cosmetic Plastic Surgery Center https://www.cosmeticplasticsurgery.com BECOME A FACEBOOK FAN OF CPS @ http://www.facebook.com/DrCastilloCosmeticPlasticSurgery VISIT OUR BLOG: https://www.cosmeticplasticsurgery.com/blog 800-252-7123 (within IL) 217-359-7508 Savoy (Champaign-Urbana) 309-662-0436 Bloomington

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ASK OUR EXPERT: FAT TRANSPLANTATION

Wednesday, April 30th, 2014

 

Question:  Can Dr. Castillo take fat from my hips or stomach and put it into my breasts? 

Answer: The short answer to that question is yes; though, it is not as simple as it sounds. 

Fat transplantation to the breasts has been done for many years, starting in earnest around the mid 1980’s by many cosmetic surgeons. At that time, we did not have answers to important questions like:

  1. What, if any changes would fat create in breast tissue?
  2. Will these changes be misdiagnosed as disease and/or cancer in the future?

  Due to the lack of information available at that time, the use of fat transplantation to increase breast volume was never truly accepted or recommended.  However, early results indicated that it did work.

 Today we know that we can remove fat from anywhere in the body and transplant it to anywhere in the body with results that will accomplish

  1. an increase in volume
  2. an improvement in the skinFor example, if fat is transplanted underneath scar tissue, the scar tissue tends to remodel and turn into better skin.  In so far as increasing volume, fat transplantation needs to be done with quite a bit of care and by an experienced surgeon because if fat is placed in large lump quantities,  not only will the procedure be ineffective but it  is likely to create issues. Fat needs to be transplanted in very small amounts and in many areas within the breast and surrounding tissue in order to accomplish an increase in the volume of the breast. We can increase the volume of the breasts by approximately 120 cubic centimeters maximum. This is related to a limitation with the rate in which the body will incorporate this fat into the tissue. Fat that is placed in a new area needs to be colonized by small blood vessels and made into living tissue in whatever area it was transplanted.  This can only happen when it is transplanted in small amounts that are small enough to be able to be sustained by the microcirculation of the area.

Fat transplantation is best utilized for patients who are seeking small adjustments to their breast proportions.  If you desire to go from an A to a C cup size breast, fat transplantation will not give you your desired outcome.  To increase breast volume in a more significant way is better accomplished with breast implants. https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm.

G.D. Castillo, M.D., FACS

Director of Cosmetic Plastic Surgery

https://www.cosmeticplasticsurgery.com/cosmetic-surgeon/